Administration of a Natural Molecular Complex in Functional Chronic Constipation
Primary Purpose
Chronic Constipation
Status
Recruiting
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Sollievo Fisiolax
Sollievo Fisiolax Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Constipation focused on measuring Chronic Constipation, Medical Device, Sollievo Fisiolax, Natural Molecular Complex
Eligibility Criteria
Inclusion Criteria:
- Patient giving written informed consent to participate in the study.
- Patient of both sexes aged between 18 and 70 years (inclusive)
- Patient affected by chronic functional constipation according to the Rome IV criteria
- In patients over the age of 50, negative colonoscopy, i.e. absence of clinically relevant alterations or in any case of critical condition for study participation, performed during the run-in period unless:
at least negative colonoscopy performed in the previous 5 years the symptoms have remained unchanged, if present, from the time of the execution of the (or last, if more than one) colonoscopy
Exclusion Criteria:
- Hypersensitivity or Suspected or known allergy to one of the components of the products under study
- Have previously taken the study product
- Therapy with antibiotics within 4 weeks prior to the screening visit (i.e, prior to the visit V -1)
- Therapy within 2 weeks of the run-in (i.e., prior to the visit V0) with: Laxatives / fecal softeners / intestinal bulking products; Drugs indicated for the treatment of obesity; probiotics or prebiotics
- Chronic inflammatory bowel diseases
- Intestinal diseases of infectious, actinic, endocrine or pharmacologic origin (microscopic colitis)
- Patients undergoing gastro-intestinal resection
- Renal, hepatic, haematological, cardiovascular, pulmonary, neurological, psychiatric, immunological, endocrine diseases, if they are clinically significant
- Patients with malignant neoplasm of any type, or history of malignancy, with the exclusion of patients with a history of extra-intestinal malignant neoplasm surgically removed and no evidence of recurrence within the five years prior to participation
- Abuse of alcohol, narcotics or psychotropic drugs that can change vigilance and physical perception
- Presence of a dementia of any type or other possible causes of progressive deterioration of the capacity to understand and of want or psycho-physical disability that reduces the ability to assume as expected the study treatment
- Obesity (BMI ≥ 30)
- No adequate reliability or conditions that may lead to a non-compliance / adherence of the patient to the protocol
- Previous participation in a clinical trial in the last 30 days
Patients who for any reason do not agree to guarantee the commitment to keep their diet stable for the study period
- During the run-in period, in case of severe symptoms, the use of an evacuant to be applied rectally, indicated in constipation and identified by the Investigator, can be used as a "rescue" therapy.
Sites / Locations
- Campus BiomedicoRecruiting
- IRCCS Istituto Clinico HumanitasRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Arm Sollievo Fisiolax
Arm Placebo
Arm Description
Sollievo Fisiolax
Placebo
Outcomes
Primary Outcome Measures
Change in the number of spontaneous complete bowel movement
Response rate (RR) to study treatment, defined by an increase of at least 1 spontaneous complete bowel movement, (SCBM) / weekly from baseline, in at least 75% of the weeks of the treatment period
Secondary Outcome Measures
Patient satisfaction
Composite rate of satisfaction with the treatment and improvement of the symptom complex, with "satisfaction" and "improvement" defined respectively by:
a ˃4 score on the following 7-point Likert scale of "satisfaction with treatment":
= extremely dissatisfied,
= very dissatisfied,
= dissatisfied,
= partially satisfied,
= satisfied,
= very satisfied,
= extremely satisfied
a score ≥2 on a global change rating scale (-7 to +7: -7 = extremely worsened, 0 = unchanged, +7 = extremely improved).
Change in Stool frequency
Post treatment stool frequency increase respect to the Baseline
Change in Patient Assessment of Constipation-Symptom
Reduction of Patient Assessment of Constipation-Symptom (PAC-SYM) questionnaire, a 12-item questionnaire divided into three symptom subscales: abdominal (four items), rectal (three items) and stool (five items). Each item is scored on 5-point Likert scales, with scores ranging from 0 to 4 (0 = 'symptom absent', 1 = 'mild', 2 = 'moderate', 3 = 'severe' and 4 = 'very severe'). A score reduction represents an improvement of constipation symptoms.
Change in Stool consistency
Change in the stool consistency assessed through the 7-point Bristol Stool Form Scale (type 1, type 2, type 3, type 4, type 5, type 6, type 7).
Change of strain evacuation
Reduction of number of evacuation with strain
Rescue medication
Number of patients who used the rescue medication, nunmber of rescue medication consumed and frequency of use
Change of Quality of Life (QoL)
Improvement of QoL through Gastrointestinal Quality of Life Index questionnaire (GIQLI). GiQLI is a 36-item questionnaire, Each item is scored on 5-point Likert scales, with scores ranging from 0 to 4 (0 = 'all the time', 1 = 'most of the time', 2 = 'now and then', 3 = 'rarely' and 4 = 'never'). A score increase represents an improvement of QoL.
Incidence of adverse events, serious adverse events, adverse device effects, serious adverse device effects, incidence of patients dropped outs.
Incidence of adverse events, serious adverse events, adverse device effects, serious adverse device effects, incidence of patients dropped outs.
Change of strain evacuation
Time to event (cox ratio), defined as the first week during which more than 50% of evacuations occurred without strain.
Full Information
NCT ID
NCT05192317
First Posted
October 22, 2021
Last Updated
July 13, 2023
Sponsor
Aboca Spa Societa' Agricola
Collaborators
JSB Solutions S.R.L.
1. Study Identification
Unique Protocol Identification Number
NCT05192317
Brief Title
Administration of a Natural Molecular Complex in Functional Chronic Constipation
Official Title
A Randomized, Parallel Group, Placebo-controlled, Double Blinded Clinical Trial to Evaluate the Efficacy and Safety of the Substance-based Medical Device (Sollievo Fisiolax) in the Treatment of Chronic Constipation.
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 9, 2021 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
September 30, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aboca Spa Societa' Agricola
Collaborators
JSB Solutions S.R.L.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multi-center, randomized, double-blinded placebo controlled trial to evaluate the efficacy and safety of the substance-based medical device (Sollievo Fisiolax) in the treatment of Chronic Constipation.
Treatment period for each patient is 28 days.
Detailed Description
According to the criteria of Rome IV, 86 patients diagnosed from chronic constipation will be enrolled by up to ten centers.
The study includes 2 visits at the site center and 1 by phone call.
V-1 (eligibility assessment / screening visit):
Collection of written informed consent
Physical examination, including measurement of anthropometric parameters and vital signs (height, weight, diastolic / systolic pressure, heart rate)
Diagnosis according to Rome IV criteria of chronic functional constipation
Blood tests: glycemia, creatinine, complete blood count with formula, ALT, AST, ALP, calcium, potassium, sodium, C reactive protein, total bilirubin. Urinalysis.
Performing a colonoscopy for patients aged> 50 who have not had one performed in the last 5 years.
Guideline for daily diary to collect the number and the consistency of the evacuations, and whether or not they occur with effort
Recording of adverse events and concomitant therapies
V0 (confirmation of possession of selection criteria):
Physical examination, including measurement of anthropometric parameters and vital signs (height, weight, diastolic / systolic pressure, heart rate)
Randomization 1:1 to Sollievo Fisiolax or Placebo
Blood and fecal sample collection for the evaluations of the exploratory objectives
Compliance of the daily diary
Administration of questionnaires: Gastrointestinal Quality of Life Index (GIQLI), PAC-SYM
Any changes in concomitant therapies and any adverse events will be recorded.
V1 (end of treatment or discontinuation before study / treatment time; 4 weeks after V0):
Physical examination, including measurement of anthropometric parameters and vital signs (height, weight, diastolic / systolic pressure, heart rate)
Returned the Investigational product
Blood and fecal sample collection for the evaluations of the exploratory objectives.
Blood tests: glycemia, creatinine, complete blood count with formula, ALT, AST, ALP, calcium, potassium, sodium, C reactive protein, total bilirubin. Urinalysis.
Blood sampling for the screening of HIV, HCV, HBV and TPHA
Check of daily diary
Administration of questionnaires: Gastrointestinal Quality of Life Index (GIQLI), PAC-SYM
Any changes in concomitant therapies and any adverse events will be recorded
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Constipation
Keywords
Chronic Constipation, Medical Device, Sollievo Fisiolax, Natural Molecular Complex
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
86 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Arm Sollievo Fisiolax
Arm Type
Experimental
Arm Description
Sollievo Fisiolax
Arm Title
Arm Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Device
Intervention Name(s)
Sollievo Fisiolax
Intervention Description
Class IIb Medical Device
Intervention Type
Other
Intervention Name(s)
Sollievo Fisiolax Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Change in the number of spontaneous complete bowel movement
Description
Response rate (RR) to study treatment, defined by an increase of at least 1 spontaneous complete bowel movement, (SCBM) / weekly from baseline, in at least 75% of the weeks of the treatment period
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Patient satisfaction
Description
Composite rate of satisfaction with the treatment and improvement of the symptom complex, with "satisfaction" and "improvement" defined respectively by:
a ˃4 score on the following 7-point Likert scale of "satisfaction with treatment":
= extremely dissatisfied,
= very dissatisfied,
= dissatisfied,
= partially satisfied,
= satisfied,
= very satisfied,
= extremely satisfied
a score ≥2 on a global change rating scale (-7 to +7: -7 = extremely worsened, 0 = unchanged, +7 = extremely improved).
Time Frame
7 days, 14 days, 21 days, 28 days
Title
Change in Stool frequency
Description
Post treatment stool frequency increase respect to the Baseline
Time Frame
through study completion, an average of 1 month
Title
Change in Patient Assessment of Constipation-Symptom
Description
Reduction of Patient Assessment of Constipation-Symptom (PAC-SYM) questionnaire, a 12-item questionnaire divided into three symptom subscales: abdominal (four items), rectal (three items) and stool (five items). Each item is scored on 5-point Likert scales, with scores ranging from 0 to 4 (0 = 'symptom absent', 1 = 'mild', 2 = 'moderate', 3 = 'severe' and 4 = 'very severe'). A score reduction represents an improvement of constipation symptoms.
Time Frame
14 days, 28 days
Title
Change in Stool consistency
Description
Change in the stool consistency assessed through the 7-point Bristol Stool Form Scale (type 1, type 2, type 3, type 4, type 5, type 6, type 7).
Time Frame
through study completion, an average of 1 month
Title
Change of strain evacuation
Description
Reduction of number of evacuation with strain
Time Frame
through study completion, an average of 1 month
Title
Rescue medication
Description
Number of patients who used the rescue medication, nunmber of rescue medication consumed and frequency of use
Time Frame
through study completion, an average of 1 month
Title
Change of Quality of Life (QoL)
Description
Improvement of QoL through Gastrointestinal Quality of Life Index questionnaire (GIQLI). GiQLI is a 36-item questionnaire, Each item is scored on 5-point Likert scales, with scores ranging from 0 to 4 (0 = 'all the time', 1 = 'most of the time', 2 = 'now and then', 3 = 'rarely' and 4 = 'never'). A score increase represents an improvement of QoL.
Time Frame
14 days, 28 days
Title
Incidence of adverse events, serious adverse events, adverse device effects, serious adverse device effects, incidence of patients dropped outs.
Description
Incidence of adverse events, serious adverse events, adverse device effects, serious adverse device effects, incidence of patients dropped outs.
Time Frame
through study completion, an average of 1 month
Title
Change of strain evacuation
Description
Time to event (cox ratio), defined as the first week during which more than 50% of evacuations occurred without strain.
Time Frame
through study completion, an average of 1 month
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient giving written informed consent to participate in the study.
Patient of both sexes aged between 18 and 70 years (inclusive)
Patient affected by chronic functional constipation according to the Rome IV criteria
In patients over the age of 50, negative colonoscopy, i.e. absence of clinically relevant alterations or in any case of critical condition for study participation, performed during the run-in period unless:
at least negative colonoscopy performed in the previous 5 years the symptoms have remained unchanged, if present, from the time of the execution of the (or last, if more than one) colonoscopy
Exclusion Criteria:
Hypersensitivity or Suspected or known allergy to one of the components of the products under study
Have previously taken the study product
Therapy with antibiotics within 4 weeks prior to the screening visit (i.e, prior to the visit V -1)
Therapy within 2 weeks of the run-in (i.e., prior to the visit V0) with: Laxatives / fecal softeners / intestinal bulking products; Drugs indicated for the treatment of obesity; probiotics or prebiotics
Chronic inflammatory bowel diseases
Intestinal diseases of infectious, actinic, endocrine or pharmacologic origin (microscopic colitis)
Patients undergoing gastro-intestinal resection
Renal, hepatic, haematological, cardiovascular, pulmonary, neurological, psychiatric, immunological, endocrine diseases, if they are clinically significant
Patients with malignant neoplasm of any type, or history of malignancy, with the exclusion of patients with a history of extra-intestinal malignant neoplasm surgically removed and no evidence of recurrence within the five years prior to participation
Abuse of alcohol, narcotics or psychotropic drugs that can change vigilance and physical perception
Presence of a dementia of any type or other possible causes of progressive deterioration of the capacity to understand and of want or psycho-physical disability that reduces the ability to assume as expected the study treatment
Obesity (BMI ≥ 30)
No adequate reliability or conditions that may lead to a non-compliance / adherence of the patient to the protocol
Previous participation in a clinical trial in the last 30 days
Patients who for any reason do not agree to guarantee the commitment to keep their diet stable for the study period
During the run-in period, in case of severe symptoms, the use of an evacuant to be applied rectally, indicated in constipation and identified by the Investigator, can be used as a "rescue" therapy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Caterina Fossi, Ph.D
Phone
+39 3351894461
Email
cfossi@aboca.it
First Name & Middle Initial & Last Name or Official Title & Degree
Luca Franceschini, Ph.D
Phone
+39 3386794491
Email
lfranceschini@aboca.it
Facility Information:
Facility Name
Campus Biomedico
City
Roma
State/Province
Lazio
ZIP/Postal Code
00128
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michele Guarino, Professor
Email
m.guarino@unicampus.it
Facility Name
IRCCS Istituto Clinico Humanitas
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20089
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alessandro Repici, Professor
Phone
+39 0282244507
Email
alessandro.repici@hunimed.eu
12. IPD Sharing Statement
Learn more about this trial
Administration of a Natural Molecular Complex in Functional Chronic Constipation
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